Enhancing capacity of ethics review committees in developing countries: The Kenyan example
Author(s)Oyugi, Julius; KAVI-Institute of Clinical Research, University of Nairobi and Department of Medical Microbiology, University of Nairobi, Kenya
Manyonyi, Gloria Omosa; KAVI-Institute of Clinical Research, University of Nairobi, Kenya
Farah, Bashir; KAVI-Institute of Clinical Research, University of Nairobi, Kenya
Anzala, Omu; KAVI-Institute of Clinical Research, University of Nairobi and Department of Medical Microbiology, University of Nairobi, Kenya
Khaniri, Maureen; KAVI-Insitute of Clinical Research, University of Nairobi, Kenya
Langat, Simon; National Commission for Science, Technology and Innovation (NACOSTI)), Kenya
Bhatt, Kirana; Department of Medical Microbiology, University of Nairobi and Department of Internal Medicine and Clinical Therapeutics, University of Nairobi, Kenya
Fowke, Keith; Department of Medical Microbiology, University of Nairobi, Kenya and Department of Medical Microbiology, University of Manitoba, Canada
Kaul, Rupert; Department of Medical Microbiology, University of Nairobi, Kenya and Department of Medicine, University of Toronto, Canada
Mutua, Gaudensia; KAVI-Institute of Clinical Research, University of Nairobi, Kenya
Wakasiaka, Sabina; KAVI-Institute of Clinical Research, University of Nairobi and School of Nursing Sciences, University of Nairobi, Kenya
Olenja, Joyce; School of Public Health, University of Nairobi, Kenya
Nyange, Jacquelyne; KAVI-Institute of Clinical Research, University of Nairobi, Kenya
Jaoko, Walter; KAVI-Institute of Clinical Research, University of Nairobi, Kenya
Contributor(s)Global Health Research Initiative, Canada
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AbstractBackground. The increased number of clinical trials taking place in developing countries and the complexity of trial protocols mandate that local ethics review committees (ERCs) reviewing them have the capacity to ensure that they are conducted to the highest ethical standards.Methods. The Kenya AIDS Vaccine Initiative (KAVI) Institute of Clinical Research (ICR) (KAVI-ICR) and the Kenyan National Council for Science and Technology (NCST) embarked on an exercise to enhance the capacity of ERCs in Kenya to review such protocols. This process involved conducting an audit of all ERCs in the country, and performing training needs assessments to identify knowledge and capacity gaps. Information obtained was used to develop training materials for ERC members at workshops conducted in different parts of the country.Results. Five accredited and 13 non-accredited ERCs were identified. Four of the accredited ERCs were located in the capital city of Kenya, Nairobi. The most common challenges cited by participants during the needs assessments were excess workload, and a lack of co-ordination and/or communication between the ERCs. Subsequently, 140 ERC members from 17 institutions across the country were trained as follows: 36 from institutions in the western part of Kenya, 38 from institutions in the south-eastern coastal region, 38 from the eastern region and 44 from Nairobi.Conclusion. The KAVI-ICR and the NCST have developed training modules for training ERC members in Kenya and are in the process of developing a manual to train members. The Kenyan experience may be used to enhance the capacity of ERCs in the East African region.
TypeObservational descriptive study
Copyright/LicenseThe South African Journal of Bioethics and Law (SAJBL) reserves copyright of the material published. The work is licensed under a Creative Commons Attribution - Noncommercial Works License. Material submitted for publication in the SAJBL is accepted provided it has not been published elsewhere. The SAJBL does not hold itself responsible for statements made by the authors.
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ІСТОРІЯ КАФЕДРИ НЕРВОВИХ ХВОРОБ, ПСИХІАТРІЇ ТА МЕДИЧНОЇ ПСИХОЛОГІЇ ІМ. С.М. САВЕНКА ВДНЗ УКРАЇНИ «БУКОВИНСЬКИЙ ДЕРЖАВНИЙ МЕДИЧНИЙ УНІВЕРСИТЕТ» / HISTORY OF THE S. SAVENKO NEUROLOGY, PSYCHIATRY AND MEDICAL PSYCHOLOGY DEPARTMENT OF THE HIGHER STATE EDUCATIONAL ESTABLISHMENT OF UKRAINE «BUKOVІNIAN STATE MEDICAL UNIVERSITY»Валерій ПАШКОВСЬКИЙ; Ольга ЮРЦЕНЮК; Наталія ПАСТЕРНАК; Сергій РОТАР (Bukovinian State Medical university, 2016-06-01)Pashkovskiy V., Yurtsenyuk O., Pasternak N., Rotar S. History of the S. Savenko Neurology, Psychiatry and Medical Psychology Department of the Higher State Educational Establishment of Ukraine «Bukovіnian State Medical University». The article deals with the main development stages of the Department of neurology, psychiatry and medical psychology in Higher State Educational Establishment of Ukraine "Bukovina State Medical University." The basic problems of neurological and psychiatric service in Bukovina in 1945 year belong also to research fild of the article.. It contains material about the founder of the department named after S. Savenk,o his life and professional activity. Proposed research describes the activities of all department cheaf and their contribution to the development of neurology and psychiatry in Bucovina region. The article tell about formation of high-quality scientists base and doctors for neurology, psychiatry, medical psychology, achievements of the department staff. Department of nervous diseases and Department of Psychiatry was founded in 1945and had their functioning till 1978. Founder and first head of the Neurology department was Prof. Serhiy Mykolayovytch Savenko. His research interests was global and different, but most of all prof. S. Savenko was fond of studing central nervous system tumor, including clinical manifestations and histology carcinomatosis. Prof. S. Savenko fopened neurological services in the Chernivtsi region. In September 1973 headed the Department of neurology Professor P. V. Voloshyn and continued the academic tradition of the department. Most of his works were devoted to the study of the pathogenesis of the brain vascular pathology. Founder of the Psychiatry department and its first head was Prof. N. Tatarenko (1945-1951). According to its management were developed following research areas: the study of pathophysiological mechanisms of psychopathological phenomena in endogenous, exogenous aging and senile psychosis. After N. Tatarenko Professor G.U. Malis administrated the department and provides studing etiology and pathogenesis of schizophrenia. In 1978 bouth departments was yoined into the Department of Nervous Diseases and Psychiatry. Head of renew department became Y. Antropov and took those position till 1979. From 1979 to 1981 VM Pidkaminnyy and Y. Prasol managed the department, and during 1981 - 1992 the department was headed by Prof. V.K. Chernetskyy. He launched as first the scientific direction of the department - complex development of diagnostics, treatment and rehabilitation of patients with chronic cerebrovascular insufficiency and ischemic strokes. Since August 1992 I.P.Dyschuk started work as a head of the department, and sience 1998 to modern times this position has Prof. V. Pashkovskyy. The department continued scientific traditions, creatively work to improve the educational process, scientific research, medical advice practical health care, introduction of modern methods in diagnosis and treatment. Key words: Bukovinіan State Medical University, Department of Neurology, Psychiatry and Medical PsychologyПашковский Валерий, Юрценюк Ольга, Пастернак Наталья, Ротар Сергей. История кафедры нервных болезней, психиатрии и медицинской психологии им. С.М. Савенка ВГУЗ Украины «Буковинский государственный медицинский университет». Авторами в статье описаны основные этапы развития и характерные особенности деятельности кафедры нервных болезней, психиатрии и медицинской психологии ВГУЗ Украины «Буковинский государственный медицинский университет». Освещены основные проблемы неврологической и психиатрической службы на Буковине с 1945 года – года основания кафедры при Черновицком государственном медицинском институте. В статье содержатся материалы об основателе кафедры С.Н.Савенко, его жизненной и профессиональной истории. Кроме того, описана последовательная деятельность всех руководителей кафедры и их вклад в развитие неврологии и психиатрии в регионе. Описано формирование качественной базы подготовки ученых и врачей по вопросам неврологии, психиатрии, медицинской психологии. Указаны достижения работы коллектива кафедры.Ключевые слова: Буковинский государственный медицинский университет, медицинский институт, кафедра нервных болезней, психиатрии и медицинской психологии.
VO[I]CES Winter 2008-2009 Vol 1 Issue 3Community Informatics Initiative; LoDolce, Kristin; Rodgers, Susan; Irish, Sharon (Community Informatics Initiative, 2010-05-13)Table of Contents: I-Powered; YCI launches Web site; Spring Speaker Series features scholars from the arts, sciences, business and media; Seed Grant Updates; CI Club travels to East St. Louis; CI-related Research Featured at iSchools; CII on the Move; Paul Adams honored for achievements in community engagement
Internationalizing Sub-Saharan Africa’s Education and Health ServicesGoswami, Arti Grover; Dihel, Nora Carina (World Bank, Washington, DC, 2015)This paper summarizes the nature and
determinants of trade in education and health services in a
selected group of countries in Eastern and Southern Africa,
using a combination of quantitative and qualitative methods.
The paper presents results from new, innovative data
collection methods, such as crowdsourcing, to shed some
light on the magnitude, determinants, and restrictions on
intra-African trade in education and health services.
Assessments of trade and regulatory barriers, based on
results from regulatory surveys conducted in selected East
African countries, and case studies of success stories and
less favorable experiences are then used to develop policy
recommendations for using trade and regional integration
more strategically to improve outcomes in education and
health. The analysis shows that to turn these sectors
around, policy action is required in the areas of education,
domestic regulation, trade policy, labor mobility, and
information and communications technologies at the national
and international levels. To retain some of the scarce
health workers in the region and enhance the region’s
competitiveness in providing education and health services,
African countries should allow for freer mobility of
teachers and health care professionals.